引导式教育对孤独症谱系障碍儿童干预效果的研究进展
广州市社会福利院康复医院
孤独症谱系障碍(ASD)是儿童期高发的神经发育障碍性疾病,核心特征为社交沟通障碍、重复刻板行为及兴趣狭窄,严重影响患儿社会适应能力与生活质量。传统干预方法在激发患儿主动性和技能泛化方面存在局限,引导式教育(CE)作为融合康复与教育的综合干预模式,凭借“全人发展”理念和情境化训练优势,成为ASD干预领域的重要方向。本文以《国际功能、残疾和健康分类(ICF)》为框架,系统梳理CE的理论基础、干预模式及在身体结构与功能、活动、参与三个维度的临床应用效果。现有证据表明,CE可显著改善ASD患儿的感知觉调节、执行功能及生活自理能力,对社交沟通及刻板行为亦有中等程度获益,且能通过家庭延伸提升社会参与度。然而,目前仍存在方案标准化不足、高质量循证证据缺乏及神经机制研究薄弱等问题。未来需依托统一规范开展多中心大样本研究,明确CE在ASD全程康复中的定位,为优化干预方案提供依据。
Autism Spectrum Disorder(ASD) is a neurodevelopmental disorder with a high incidence in childhood, characterized by core symptoms including social communication deficits, repetitive and stereotyped behaviors, and restricted interests, which severely affect children's social adaptation ability and quality of life. Traditional intervention methods have limitations in stimulating children's initiative and generalizing skills. As a comprehensive intervention model integrating rehabilitation and education, conductive education(CE) has become an important direction in the field of ASD intervention due to its “holistic development” concept and contextual training advantages. Using the International Classification of Functioning, Disability and Health(ICF) as a framework, this article systematically reviews the theoretical basis, intervention models, and clinical application effects of CE across three dimensions: body structure and function, activity, and participation. Existing evidence suggests that CE can significantly improve sensory modulation, executive function, and self-care abilities in children with ASD, with moderate benefits also observed for social communication and stereotyped behaviors, and enhanced social participation through family extensions. However, challenges remain, including a lack of standardized protocols, insufficient high-quality evidence, and limited research on neurological mechanisms. Future multicenter, large-sample studies based on unified standards are needed to clarify the role of CE in the continuum of ASD care and optimize intervention strategies.
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| 文章编号 | 2026-07-006(期号内编号) |
|---|---|
| 栏目 | 综述 |
| 作者 | 崔文瑞;邓浩荣;曾婷婷;黄宏亮 |
| 作者单位 | 广州市社会福利院康复医院 |
| 通信邮箱 | huang698@126.com; |
| 中图分类号 | R749.94 |
| 卷期页码 | 2026, 2(07): 21-24 |
| 发布时间 | 2026-10-15 |
| 出版时间 | 2026-10-15 |
| 引用信息 | [1]崔文瑞,邓浩荣,曾婷婷,等.引导式教育对孤独症谱系障碍儿童干预效果的研究进展[J].疾病预防与控制,2026,2(07):21-24. |
| 全文地址 | 在知网查看该文(kns.cnki.net) |
| 数据抓取时间 | 2026-11-03T03:30:23 |